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MICHELLE KIM MD
NPI 1508495631
Internal Medicine in Loma Linda, CA

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
11234 ANDERSON ST STE 1519, LOMA LINDA, CA 92350(909) 558-4884(909) 558-0428 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 16, 2026, Oct 5, 2023, Apr 1, 2020 (3 updates tracked since 2020).

About Michelle Kim Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE KIM MD (NPI 1508495631) is an individual internal medicine provider in Loma Linda, California, licensed in California (A203918) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Incline Village Community Hospital, and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1508495631
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMICHELLE KIMCredential: MD
Location Address11234 ANDERSON ST STE 1519Loma Linda, CA 92350-1716
Mailing Address11234 Anderson St Ste 1519Loma Linda, CA 92350-1716 · (909) 558-4884 · Fax (909) 558-0428
Phone(909) 558-4884
Fax(909) 558-0428
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 2020
Enumeration DateApril 1, 2020
Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1508495631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · A203918✔ Licensed in NM · MD2023-1118
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11234 ANDERSON ST STE 1519, Loma Linda, CA 92350
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Secondary Practice Location 1

Location 11100 Central Ave SEAlbuquerque, NM 87106-4930 · Phone (505) 724-6124 · Fax (505) 272-4628

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Kim Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628494630
PECOS Enrollment IDI20250916003005
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm
Same address
Pediatrics
11234 ANDERSON ST
Loma Linda, CA 92350
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1477503407 (909) 558-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
405 services130 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
51 services51 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
37 services30 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Incline Village Community Hospital

Critical Access Hospitals · Incline Village, NV
OwnershipGovernment - Hospital District or Authority
CMS Certification Number291301
Location880 Alder StreetIncline Village, NV 89451 · Washoe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BIDUR DHAKAL MD
Internal Medicine
11234 ANDERSON ST STE 1519
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4884

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Kim's NPI number?

The NPI number for Michelle Kim is 1508495631. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Michelle Kim located?

Michelle Kim practices at 11234 Anderson St Ste 1519, Loma Linda, CA 92350. The listed phone number is (909) 558-4884.

What is Michelle Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michelle Kim enrolled in Medicare?

Yes. Michelle Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michelle Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Kim reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michelle Kim affiliated with any hospitals?

According to CMS data, Michelle Kim is affiliated with Incline Village Community Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Kim was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.